Utilization Management Pharmacist Jobs in Buffalo, NY

Engage in comprehensive risk adjustment audits and compliance reviews, ensuring accurate data submission to CMS. Collaborate with coding teams and management to uphold regulatory standards and improve...

Drive strategic leadership in industry partnerships and payor strategy, enhancing market access and competitive positioning. Lead a high-performing team to execute a multiyear plan that fosters sustai...

Elevate your career by leading payer sales strategy and team development, driving new business opportunities in healthcare technology. Collaborate with executives to enhance performance and deliver im...

Elevate operational excellence by leading process design and transformation initiatives. Drive automation, quality management, and continuous improvement to enhance client data operations and ensure s...

Lead the charge in executing sourcing strategies for low-risk vendor categories, managing procurement activities, vendor negotiations, and contract management while supporting cross-functional initiat...

Lead quality oversight for drug manufacturing, ensuring compliance with cGMPs. Collaborate with vendors on batch record review and product disposition for global clinical programs, thriving in a dynam...

Lead the execution of the Medicare Compliance Advisory program, ensuring adherence to CMS regulations. Collaborate with stakeholders to provide regulatory guidance, conduct audits, and enhance complia...

Drive your career with a Senior Program Analyst role focused on solving complex cross-functional challenges. Utilize analytical skills to enhance pricing, agreements, and program performance while col...

Drive operational excellence in patient access by leading teams, enhancing processes, and fostering collaboration across healthcare facilities. Your leadership will ensure compliance, improve patient...

Drive client satisfaction by managing employee benefits accounts, providing expert guidance, and ensuring compliance with industry standards while fostering strong relationships and implementing innov...

Shape the future of audit excellence by developing innovative concepts, mentoring teams, and ensuring quality control. Drive client satisfaction and enhance audit productivity through strategic oversi...

Elevate your career by joining a dynamic Medical Affairs team, where you'll lead Medical Information initiatives, ensure compliance, and drive strategic insights to support our innovative pipeline in...

Drive strategic initiatives by developing KPI frameworks and operational dashboards, analyzing performance data, and collaborating across teams to enhance business outcomes and support informed decisi...

Join a team that's dedicated to enhancing healthcare quality through thorough medical claims audits. Leverage your nursing expertise in a dynamic remote environment, collaborating with experienced aud...

Transform healthcare delivery by leading the RN UM Team, ensuring timely care decisions and maintaining documentation quality while fostering a culture of clinical excellence and accountability...

Lead the development of pharmacy claims adjudication technology, driving product direction and enhancing transaction capabilities. Collaborate with cross-functional teams to solve complex challenges a...

Transform your career by leading the digital strategy for Medical Affairs. Drive innovation, optimize processes, and enhance scientific communications through emerging technologies while collaborating...

Transform program administration for a large federal services initiative, overseeing workforce planning, financial operations, and compliance. Collaborate with diverse teams to enhance operational eff...

Join us to lead a dynamic team in optimizing revenue cycle operations for multiple clients. Drive continuous improvement and ensure client satisfaction while managing performance metrics and fostering...

Drive revenue cycle operations by managing processes from entry to adjudication. Lead teams, implement efficiencies, and ensure compliance while optimizing cash collections and performance metrics for...

Optimize implementation processes by coordinating project activities, ensuring readiness for system rollout, and fostering collaboration among stakeholders to achieve successful outcomes in a dynamic...

Shape the future of pharmacy network operations by leading a team of attorneys, providing strategic legal counsel on regulatory, operational, and transactional matters within the PBM landscape, while...

Accelerate progress at the forefront of cloud security governance, leading a dynamic team to enhance compliance, drive automation, and ensure robust risk management across multi-cloud environments...

Drive safety evaluation and risk management for assigned programs, collaborating with cross-functional teams to ensure compliance and effective governance in pharmacovigilance activities, while suppor...

Empower your career by transforming demand into actionable workforce strategies. Lead capacity planning and vendor performance in a dynamic remote environment, ensuring optimal resource allocation and...